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1306495767
KATHERINE KEATING
PORTLAND, OR
NPI
1306495767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5505)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
KATHERINE KEATING MA, LPC intern
1711 E BURNSIDE ST
PORTLAND, OR 97214-2097
Phone number: 503-957-7907
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Mailing Address
KATHERINE KEATING MA, LPC intern
3280 SE MADISON ST
PORTLAND, OR 97214-4249
Phone number: 503-957-7907
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